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General NPI Number Information
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NPI Number | 1154895092
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Entity Type | Organization
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Legal Business Name | ENVIABLE SMILES P.C.
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 9451 CULLEN BLVD STE D
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City | HOUSTON
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State | TX
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Zip | 77051-3394
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Country | US
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Telephone | 281-972-4747
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Fax | 832-203-5475
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Provider Business Mailing Address
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Address Line | 9451 CULLEN BLVD STE D
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City | HOUSTON
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State | TX
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Zip | 77051-3394
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Country | US
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Telephone | 281-972-4747
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Fax | 832-203-5475
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Authorized Official
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Title or Position | DENTIST/ DIRECTOR
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Name | DR. UGOCHI CHUKS
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Credential | DMD
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Telephone | 325-320-4695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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